TITLE:
Extracorporeal Shock Wave Lithotripsy in the Treatment of Single Ureteric Stone. Initial Data from Iraq
AUTHORS:
Yarub Fadhil Hussein, Basim Jasim Abdulhussein, Abdulsalam Hatem Nawar, Muhamed T. Osman, Aqil Mohammad Daher
KEYWORDS:
Ureteric Stones, Extracorporeal Shock Wave Lithotripsy (ESWL), Iraq
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.5,
May
8,
2015
ABSTRACT: Background: Extracorporeal shock wave
lithotripsy (ESWL) became the first line in the treatment of ureteric stone
after failure of conservative treatment because of its safety, simplicity and
effectiveness. It is not invasive procedure and can be done on outpatient
basis without anesthesia and with few complications which is most probably
temporary and treatable. The objective of this study is to evaluate the
efficiency and safety of ESWL in treatment of ureteric stone in Iraq. Materials
and Methods: A total of 112 Iraqi patients with ureteric stones were
participated in this prospective observational study in which patients
scheduled for ESWL treatment for a period of 6 months. Patients were divided
into 2 groups: 1) Group 1: 52 patients with proximal ureteric stone; 2) Group
2: including 60 patients with distal ureteric stone. Preoperatively all
patient underwent bowel preparation and were asked to fast for 8 hours before
the procedure. Results: The age ranged between 22 and 55 with mean of 42 (SD =
5) years. Around 46% had proximal ureteric stone and the rest were in distal
ureter. Around 44% needed one session and 40% needed two sessions to be
stone-free respectively. In regards to associated symptoms, 74% had ureteric
colic, 3% haematuria, 43% microhematuria and 12% UTI. Mild hydronephrosis was
found in 90% of the cases and 30 reported had previous intervention. Success
rate was 90%. Conclusions: ESWL is safe and effective in treatment of ureteric
stone with few complications and must be regarded first choice after
conservative treatment in a patient with uncomplicated ureteric stone.